Healthcare Provider Details

I. General information

NPI: 1356734081
Provider Name (Legal Business Name): MELISSA DAWN GASPAR APRN, CNM, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA DAWN MCDUNN APRN-CNM

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 BRADLEY AVE
BEAUMONT MS
39423-5611
US

IV. Provider business mailing address

PO BOX 1729
HATTIESBURG MS
39403-1729
US

V. Phone/Fax

Practice location:
  • Phone: 601-784-3922
  • Fax:
Mailing address:
  • Phone: 601-545-8700
  • Fax: 601-255-2645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number906642
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-100052
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNUR-APRN-LIC-100052
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: